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Practice Application

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FRANCIS OBMERGA, RN, MAN

Historical Perspective

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More than 150 years


ago, Florence
Nightingale spoke
about the critical
importance of
nursing informatics
in patient care.
"Decision making
must be based
upon the use of

FRANCIS OBMERGA, RN, MAN

Historical Perspective
The first hospital
information systems
arrived in late 1950s
to the mid-1960s,
although these
systems focused
primarily on
processing financial
and administrative
information.
4/30/15 01:17:29 AM

FRANCIS OBMERGA, RN, MAN

Historical Perspective
In 1965, the American
Hospital Association
conferences for
hospital administrators
signalled the emerging
move toward more
clinical adaptations
of such systems in
healthcare

4/30/15 01:17:29 AM

FRANCIS OBMERGA, RN, MAN

Historical Perspective
In the 1970s, the
advent of the silicon
chip allowed the focus
to shift from one large
supercomputer
to
smaller
personal
computers that could
be adapted for many
different
applications
throughout the hospital
system.
4/30/15 01:17:29 AM

FRANCIS OBMERGA, RN, MAN

4/30/15 01:17:29 AM

FRANCIS OBMERGA, RN, MAN

4/30/15 01:17:29 AM

FRANCIS OBMERGA, RN, MAN

Historical Perspective
By the 1980s, the
computer was being used
for diverse hospital
functions such as
radiology, pharmacy, and
laboratories. At this time,
there emerged "a strong
drive within healthcare to
understand how clinicians
would use the new tools
to advance practice"
4/30/15 01:17:29 AM

FRANCIS OBMERGA, RN, MAN

Historical Perspective
Throughout
the
1990s, expanded uses
of computers evolved
as nurses used it to
improve patient care
and conduct research
by analyzing patient
trends, variability in
practice;
and
outcomes of care.
4/30/15 01:17:29 AM

FRANCIS OBMERGA, RN, MAN

Historical Perspective

4/30/15 01:17:30 AM

Along with the most


recent
standards
of
nursing
informatics
practice which were set
forth by the American
Nurses Association (ANA)
in
2001,
extent
of
practice
applications
which involve computers,
controversies surrounding
nomenclature, the use of
decision support systems,
and nursing perspectives
on the perceived valueFRANCIS OBMERGA, RN, MAN
10
added
of
using

Nursing Informatics:
An Evolving Definition

1980
Nurses interacting with technology
to produce greater knowledge, or
on the role of nurses who
specialized
in
developing
applications of technology to
nursing practice.
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FRANCIS OBMERGA, RN, MAN

11

Nursing Informatics:
An Evolving Definition

1989
"combination of nursing science,
information science, and computer
science to manage and process
nursing data, information, and
knowledge to support the practice
of nursing and the delivery of
nursing care
Graves and Corcoran
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FRANCIS OBMERGA, RN, MAN

12

Nursing Informatics:
An Evolving Definition
1992
A specialty that integrates nursing science,
computer science, and information science in
identifying collecting, processing and managing data
and information to support nursing practice,
administration, education, and research; and to
expand nursing knowledge.
The purpose of nursing informatics is to analyze
information requirements; design, implement and
evaluate information systems and data structures
that support nursing, and identify and apply computer
technologies to nursing.
EDWIN O. BRACAMONTE, RN, MAN

13

Nursing Informatics:
An Evolving Definition

1994
Nursing informatics supports the
practice of nursing specialties in all
sites and settings whether at the
basic or advanced levels. The
practice includes the development of
applications, tools, processes and
structures that assist nurses with
management of data in taking care
of patients or in supporting their

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FRANCIS OBMERGA, RN, MAN

14

Nursing Informatics:
An Evolving Definition

2001
Nursing informatics is a specialty that
integrates
nursing
science,
computer
science, and information science to manage
and communicate data, information, and
knowledge in nursing practice. Nursing
informatics facilitates the integration of
data, information and knowledge to support
patients, nurses and other providers in their
decision making in all roles and settings.
This support is accomplished through the
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FRANCIS OBMERGA, RN, MAN
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use of information structures, information

Nursing Informatics:
An Evolving Definition
The goal of nursing informatics, is to:

Improve the health of populations,


communities, families, and individuals
by
optimizing
information
management and communication. This
includes using technology in the direct
provision
of
care;
establishing
administrative systems; managing and
delivering educational experiences;
supporting life-long learning, and

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FRANCIS OBMERGA, RN, MAN

16

Standards for Practice


Informatics Competencies: Beginning to
Experienced

1. Computer literacy skills:


These are the basic computer skills
needed to use a word processor;
access
a
database;
create
a
spreadsheet; communicate with email;
and
interact
with
clinical
documentation systems.
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FRANCIS OBMERGA, RN, MAN

17

Standards for Practice


Informatics Competencies:
to Experienced

Beginning

2. Information literacy skills:


These
include
the
ability
to
recognize the need for information and
the skill to access, evaluate and
interpret information correctly.

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FRANCIS OBMERGA, RN, MAN

18

Standards for Practice


Informatics
Competencies:
Beginning
to
Experienced
3. General informatics competencies:
These basic skills are required for all nurses but are
not sufficient for specialists: identifying, collecting
and recording data relevant to the nursing care of
patients; analyzing and interpreting patient and
nursing information; using applications of informatics
as an integral part of the nursing process; and
implementing institutional and public policies
regarding privacy, confidentiality and security of
information.
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FRANCIS OBMERGA, RN, MAN

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Problem Solving as an Organizing


Framework
According to the ANA (2001), the
informatics nurse specialist moves
beyond the foundational competencies
and into a practice specialty in which
there are organized and recognized
standards of practice and performance
standards. These standards include six
major areas that mirror the traditional
nursing process.
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FRANCIS OBMERGA, RN, MAN

20

Nursing informatics
standards of practice:
the problem solving
framework

Assessment
Diagnosis

Nursing Informatics
Standards Of Practice:
The Problem Solving
Frameworks

Identification
of Outcomes
Planning
Implementation
Evaluation

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FRANCIS OBMERGA, RN, MAN

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Recognized Terminologies that


Support Nursing Practice:
The following 13 languages have been recognized by the American Nurses
Association (ANA) as those classification systems that have been uniquely
developed to document the entire process of clinical care for patients
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.

NANDAnursing diagnosis, definition, and classification


NICNursing Interventions definitions, and classifications
HHCCHome Health
OMAHA system
NOCNursing Outcomes Classification
NMMDSnursing management minimum data set
PCDSpatient care data set
PNDSperi-operative data set
SNOMED CT
NMDSnursing minimum data set
ABC codes
ICNPInternational Classification for Nursing Practice
LOINC Logic Observation Identifiers Names And Codes

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FRANCIS OBMERGA, RN, MAN

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